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Please select if the car has any security devices fitted.

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How many seats?

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Does this car have any modifications?

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Have you purchased the car yet?

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When was the car purchased?

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If you have purchased the car please select the Purchase Date or else please indicate you have not purchased the car yet. Also, note that the purchase date of the car must be after the date of registration.

What is the current market value of this car?

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How many years No Claims Bonus do you have?

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Remember: We will need you to provide proof of any no claims bonus from your existing insurers

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Would you like to protect your No Claims Bonus?

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Why should I protect my NCD?

You could lose your NCD if you have to make a claim, even if the accident isn’t your fault. For example, if your vehicle is hit by a third party who is uninsured.

You can avoid this by choosing to protect your NCD. This means that you can make two claims in five years without losing next year’s discount.

Please tell us if you have had experience of driving a company car.

Number of years No Claims Bonus earned whilst using the company car?

0 1 2 3 4 5 6 7 8 9+

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How many claim-free years of driving other cars do you have?

0 1 2 3 4 5 6 7 8 9+

How many other cars are you insured to drive?

0 1 2 3 4 5 6 7 8 9+

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On any motoring policies you've held in the last 5 years, have there been any accidents, thefts or losses? Please include all incidents even if you or the named driver on that policy weren't at fault and didn't have to make a claim.

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Have you committed any driving offences or had any fixed penalty notices in the last 5 years? Please include any that are still pending.

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What is your title?

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What is your first name?

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Please correct your surname. This must contain more than 1 and no more than 50 characters.

What's your date of birth?

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Have you lived in the UK since birth?

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When did you become a resident?

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What is your marital status?

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Email address

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Daytime phone number

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Address Details

Address 1 Address 2 Town County Postcode Not the right address? Try again.

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Is this where the car is usually kept overnight?

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Where do you usually park your car overnight?

On the road Private driveway Locked garage Car park

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Are you a home owner?

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What is your main job?

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What industry do you work in?

What educational establishment do you work in?

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What type of student are you?

Where are you studying?

What course are you studying?

Which year will you graduate?

Where do you stay at university?

Are you a member of one of these teaching unions?

NASUWT UCU No

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Are you a university graduate?

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University graduate

Which year did you graduate?

Where did you study?

What course did you study?

Do you have a part time job?

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Employment status?

What is this job?

What industry is this job in?

What educational establishment do you work in?

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How many other cars do you own?

0 1 2 3+

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What type of licence do you have?

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Please enter a valid date for when you got your driving licence. Please enter a valid licence date - you must be 17 years or older to get a UK driving licence. Your No Claims Bonus cannot be greater than the number of years you have held Your licence.

Do you have a Pass Plus qualification?

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What date did you obtain Pass Plus?

Please enter a valid Pass Plus date.

Do you have any medical conditions or disabilities that the DVLA needs to be notified of?

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Does the DVLA know about these medical conditions?

DVLA Aware DVLA Unaware

Does the DVLA know about these medical conditions?

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Would you like to add any additional drivers to this policy?

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Add Another Driver

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Have any of the drivers on this quote ever been refused insurance or had a motor insurance policy cancelled or made void?

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Who is the main driver?

Are you the owner and registered keeper?

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When would you like cover to start?

Today Tomorrow Other

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Comprehensive

This is the most ‘comprehensive’ type of cover you can get. You may have heard it being called 'fully comp'. In short, it covers you and your vehicle against accidents, covers for both theft and damage to your vehicle and can compensate a third party. See policy details for more in depth information about cover.

Damage by policyholder and third parties up to the market value of your car
Cover anywhere in the UK and up to 90 days worldwide
Loss of and damage to other people’s property up to £20,000,000
Legal costs and expenses up to £5,000,000
24-hour windscreen and glass repair

Third Party, Fire and Theft

If an accident is your fault, this type of cover insures you for damage to another person, their vehicle and property. Your vehicle will also be covered in the event of it being stolen or damaged by fire. Any other damage to your vehicle outside of the above is not covered on this policy. See policy details for more in depth information about cover.

Loss of or damage to your car up to its market value
Cover anywhere in the UK and up to 90 days worldwide
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Legal costs and expenses up to £5,000,000

Third Party Only

This is the minimum level of cover you can legally have for your vehicle, as required by the Road Traffic Act. It covers your legal liability to third parties, as well as damage and injury caused by your passengers and includes:

Loss of and damage to other people’s property up to £20,000,000
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Cover anywhere in the UK and up to 90 days worldwide

Please note that no cover will be provided for your vehicle under this policy under any circumstance.

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What type of business use do you need?

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What is the annual mileage of your car?

Not sure?

Use our mileage calculator

Work out your annual mileage
Understand quickly how many miles you’re likely to drive each year.

Input the number of miles you drive during the following times:

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Weekend miles

Holidays and other journeys miles

How many of those are business miles?

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Use our mileage calculator

Work out your annual mileage
Understand quickly how many miles you’re likely to drive each year.

Input the number of miles you drive during the following times:

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Weekend miles

Holidays and other journeys miles

What Voluntary Excess would you like to take?

Voluntary Excess is required and cannot be greater than the value of the car.

How do you normally pay for your insurance?

Monthly instalments Annual payment This is my first time

How would you like us to contact you?

Endsleigh is part of the A-Plan group of companies. A-Plan would like to let you know about our products, discounts, rewards and competitions we think you'd be interested in. Would you like to be contacted?

Your information will not be shared with anyone outside the A-Plan Group of companies for marketing purposes.

If you change your mind, you can opt-out at any time by clicking the 'unsubscribe' link in emails.

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